Stephen D. Cagle, Jr, Hannah Hornsby, Justin J. Chin
Up to 50% of children experience recurrent episodes of wheezing by age 5 years. The differential diagnosis varies depending on age of onset. Chest radiography is the recommended initial imaging study for those who have recurrent episodes without a clear etiology.
Amy Wiser, Jeffrey D. Quinlan
The American Cancer Society and US Preventive Services Task Force (USPSTF) endorse three strategies for cervical cancer screening: cytology alone, cotesting, and primary HPV screening; primary HPV screening is preferred in current guidelines and the USPSTF draft recommendation.
Raman Nohria, Andrew Romaine, Gabryel Garcia-Sampson
Endocarditis should be considered in any patient with fever or sepsis of unknown origin. Empiric intravenous antimicrobial therapy, infectious source control, and expert consultation are mainstays of initial treatment.
Jason Wilbur, Valery L. Tran, Marc F. Doobay
Neck masses in adults are mostly benign, but malignancy must be considered. Accurate and timely diagnosis of malignant masses is based on acuity (ie, acute [eg, infection], subacute [eg, malignancy], and chronic [eg, congenital, thyroid]), history, physical examination, and...
Joseph Coppiano, Mark Carrasco, Irfan Asif
This review focuses on nonischemic cardiomyopathies, covering classification, evaluation, management strategies, and guideline updates. Key topics include hypertrophic, arrhythmogenic, dilated, restrictive, peripartum, and takotsubo cardiomyopathies, with recommendations for...
Diana T. Trang, Emily C. Buck, Daniel T. Schoenherr
The diagnosis of impetigo is based primarily on clinical examination and should be suspected in patients with erythematous papules that progress to ruptured vesicles or bullae over 4 to 6 days. Topical mupirocin 2% ointment is first-line treatment for mild, nonbullous and...
Maya Bass, Rebecca E. Kasper
Given the prevalence of menopausal symptoms, clinicians must be familiar with evidence-based treatment options, including hormone therapy in appropriate patients.
Tamim Rajjo, Dima Bechenati, Diana B. Collantes Hoyos, Meera Shah
Family physicians play a critical role in guiding patients through the complexities of injectable weight loss medication use and discontinuation.
Megan D. Rodgers, Michael D. North
A color recommendation of green (benefits outweigh harms) is assigned for the use of proton pump inhibitors for gastrointestinal protection in patients taking long-term nonsteroidal anti-inflammatory
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Karl T. Clebak, Makayla Lagerman, Zakary Newberry
The DASH diet does not appear to reduce the rates of cardiovascular events (ie, MI, stroke, or all-cause mortality) over 4 to 18 months of follow-up compared with usual care or minimal dietary.
Jeffrey Leggit, Brayson Pawelczyk
Patients with nonspecific, acute low back pain lasting less than 6 weeks should be advised to stay active; continued activity improves pain intensity and function more than rest. Spinal manipulation does not improve short-term function compared with placebo. In patients with...
Annette Chavez
First-person accounts from the front lines of family medicine.
Richard Guthmann, Adam Korte, Robert Martin
In patients with established atherosclerotic cardiovascular disease, evidence supports dosing oral cholesterol-lowering medications to achieve a specific low-density lipoprotein cholesterol target, ideally less than 70 mg/dL (1.81 mmol/L), rather than treatment based solely...
Michael L. Grover, Jyoti Gurung, Erwin A. Kruger
An active 81-year-old woman was evaluated 3 days after injuring her right hand.
Tracy Williams, Taylor Russell, Kristina Chaffee Khant
A 4-month-old infant presented with an asymmetrical smile.
David Slawson
Mark H. Ebell
Allen F. Shaughnessy
Mark H. Ebell
Michael J. Arnold
The US Department of Veterans Affairs and US Department of Defense (VA/DoD) published guidelines on the management of tinnitus in patients with bothersome tinnitus with or without hearing difficulty.
Michael J. Arnold
The International Headache Society (IHS) published guidelines for acute migraine medical treatment.
Diana Ly-Liu, José-Luis Andréu, Domingo Ly-Pen
Reply: Thomas M. Neubauer, Jason B. Alisangco
Richard Temple
Reply: Robert Gauer
Ha Rio, Naomi Malam, Derek Nguyen
The cervix is the lowest part of your uterus or womb where it joins the vagina. It allows for bleeding during your period and opens to let the baby out during birth. It is pink and the size of a coin. Cancer can develop in the cervix.
Incorrect drug information. “Mastitis: Rapid Evidence Review” (August 2024, p. 174) incorrectly listed amoxicillin as a treatment for bacterial mastitis in Table 5. The online version of the article has been corrected.
All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.
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